Learning objectives
To identify radiologic findings of most common arthropathies in clinical practice.
To evaluate the usefulness of magnetic resonance imaging (MRI),
in the evaluation of complications
Background
1.
INTRODUCTION
2.
INFLAMMATORY ARTHRITIS
- Rheumatoid arthritis
- Seronegative Spondyloarthropathies
3.
CRYSTAL DEPOSITION ARTHROPATHIES
-Gouty Arthritis (Monosodium Urate Crystal deposition disease)
-Calcium Pyrophosphate Dihydrate (CPPD) Crystal Deposition Disease
4.
CONNECTIVE TISSUE ARTHRITIS
- Scleroderma
- Dermatomyositis
5.
ARTHROPATHIES COMPLICATIONS
...........................................
1.
INTRODUCTION
The arthropathies specific diagnosis is based upon:
1.
Clinical data
2.
Laboratory features
3.
Radiographic features:
A slow,
insidious onset,
with developing symptoms over severalmonthsrequired an X-ray study including:
- PA and oblique projection of both hands
-AP projection of both knees...
Imaging findings OR Procedure details
Patients are studied with X-ray and MRI of 1.5 Teslas.
Conclusion
Plain radiography remains the fundamental imaging test in the initial evaluation of arthropathy.
In the diagnosis of complications is essential the use of other imaging tests such as MRI,
which allows establish the most suitable medical or surgical treatment.
References
Sommer J,
Kladosek A,
Volkmar W et al.Rheumatoid Arthritis: A Practical Guide to State-of-the-Art Imaging,
Image Interpretation,
and Clinical Implications.
RadioGraphics 2005; 25:381–398
Hermann K,
Althoff C,
SchneiderU.Spinal Changes in Patients with Spondyloarthritis: Comparison of MR Imaging and Radiographic Appearances.
RadioGraphics 2005;25:559–570
Bennett D,
Ohashi K,
El-Khoury G.
Spondyloarthropathies: ankylosing spondylitis and psoriatic arthritis.
Radiol Clin N Am 2004; 42(1) 121-134
Steinbach.Calcium pyrophosphate dihydrate and calcium hydroxyapatite crystal deposition diseases: imaging perspectives.
Radiol Clin N Am 2004; 42(1) 185-205
Monu J,
Pope T.
Gout: a...